| NPI | 1083167654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL LUND Owner 425-335-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA 9548) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |